WICKER PARK DENTAL STUDIO, LTD
NPI 1912783705
Dentist - General Practice in Chicago, IL

Active since September 06, 2023
1282 N MILWAUKEE AVE, CHICAGO, IL 60622(312) 392-0885 Get Directions Write a Review

NPPES record last updated: September 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wicker Park Dental Studio, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WICKER PARK DENTAL STUDIO, LTD (NPI 1912783705) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since September 2023. The organization lists Leslie Sanders, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1912783705
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLESLIE M SANDERS DDS PC
Location Address1282 N MILWAUKEE AVEChicago, IL 60622-9319
Mailing Address3604 N Campbell Ave Unit 204Chicago, IL 60618-4726 · (630) 346-9383
Organization SubpartNo
Authorized OfficialLeslie SandersOwner/dentist · (630) 346-9383
Enumeration DateSeptember 6, 2023
Last NPPES UpdateSeptember 24, 2023
NPPES CertifiedSeptember 24, 2023
NPI 1912783705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1282 N MILWAUKEE AVE, Chicago, IL 60622

Other Names 1

Doing Business AsWicker Park Dental Studio, Ltd

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie M Sanders Dds PC's NPI number?

The NPI number for Leslie M Sanders Dds PC is 1912783705. It was assigned to this organization in the NPPES registry on September 6, 2023. The provider is doing business as Wicker Park Dental Studio, Ltd.

Where is Leslie M Sanders Dds PC located?

Leslie M Sanders Dds PC is located at 1282 N Milwaukee Ave, Chicago, IL 60622. The listed phone number is (312) 392-0885.

What is Leslie M Sanders Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Leslie M Sanders Dds PC was last updated on September 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.